国际口腔医学杂志

国际口腔医学杂志 ›› 2020, Vol. 47 ›› Issue (1): 37-42.doi: 10.7518/gjkq.2020026

• 论著 • 上一篇    下一篇

数字化改良式与传统基托式塞治器在下颌骨开窗减压术中的对比研究

王家云,胡欢,林云红()   

  1. 昆明医科大学附属口腔医院修复科 昆明 650000
  • 收稿日期:2019-03-06 修回日期:2019-09-06 出版日期:2020-01-01 发布日期:2020-01-01
  • 通讯作者: 林云红
  • 作者简介:王家云,住院医师,硕士,Email： 1518269810@qq.com

Comparative study of digital modified and traditional base type cyst plug marsupialization of cystic lesions of the jaw

Wang Jiayun,Hu Huan,Lin Yunhong()   

  1. Dept. of Prosthodontics, Affiliated Hospital of Stomatology, Kunming Medical University, Kunming 650000, China
  • Received:2019-03-06 Revised:2019-09-06 Online:2020-01-01 Published:2020-01-01
  • Contact: Yunhong Lin

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摘要：

目的 比较数字化改良囊腔塞治器与传统基托式囊肿塞治器在下颌骨囊肿开窗减压术后的临床运用及治疗效果。方法 选取下颌骨囊肿开窗减压术后病例37例,随机分为数字化改良囊腔塞治器组和传统基托式囊肿塞治器组,对比两组所用塞治器的技工制作和临床操作用时、戴用后满意度评分及12个月后囊腔大小变化差异。结果 数字化改良囊腔塞治器组塞治器的技工制作和临床操作平均用时与传统基托式囊肿塞治器组差异具有统计学意义（P=0.00）;数字化改良囊腔塞治器组戴用塞治器后舒适度及清洁度的满意度评分与传统基托式囊肿塞治器组差异具有统计学意义（P<0.05）,但两组对固位的满意度评分差异无统计学意义（P>0.05）;数字化改良囊腔塞治器组与传统基托式囊肿塞治器组戴用塞治器12个月后囊腔明显减小,但两组间差异无统计学意义（P>0.05）。结论 下颌骨囊肿开窗减压术后运用数字化改良囊腔塞治器和传统基托式囊肿塞治器均可取得良好的效果;数字化改良囊腔塞治器具有较高的时效性,患者满意度高,可作为下颌骨开窗减压术后的一种优选治疗装置。

关键词: 开窗减压术, 塞治器, 光固化成型技术

Abstract:

Objective To compare the clinical application and therapeutic effect of digital modified and traditional base type cyst plug in the treatment of jaw cyst decompression. Methods Thirty-seven cases of jaw cyst patients were selected and randomly divided into two groups: digital modified cyst plug group and traditional base type cyst plug group. Compare the differences of the two groups of the cyst plug used in the technician production and clinical operation, the post-wear satisfaction score and the change of the cyst size after 12 months. Results The difference in average time between the technician production and clinical operation of the two groups of cyst plug was statistically significant (P=0.00). There was a statistically significant difference in the satisfaction scores of comfort and cleanliness between the two groups (P＜0.05), but there was no significant difference in the satisfaction scores between the two groups (P＞0.05). After 12 months of wearing the cyst plug, the cysts size were significantly reduced, but there was no statistical difference between the two groups (P>0.05).Conclusion The digital modified cyst plug and the traditional base type cyst plug can achieve good results after the decompression of the jaw cyst. The digital modified cyst plug has high timeliness and high patients satisfaction, so it can be used as a preferred treatment for postoperative decompression of the jaw.

Key words: decompression, cyst plug, stereo lithography apparatus

中图分类号: 

  • R782

"

表 1

塞治器满意度分级"

分级 固位 舒适度 清洁度 总体评价
满意 固位佳,行使口腔功能时固定在位,稳定 无压痛、刺激痛,无异物感 表面光滑连续,无软垢附着 各方面使用满意
一般 固位尚可,行使口腔功能时易松脱,不稳定 局部压痛、刺激痛,稍有异物感 表面欠光滑,轻度软垢附着 有较少不适,但不影响使用
不满意 固位差,佩戴后无法行使口腔功能 广泛压痛、刺激痛,明显异物感 表面粗糙,重度软垢附着 基本无法使用

表 2

塞治器满意度评价结果"

分组 满意 一般 不满意 P值
固位 改良组 17 5 0 0.78
基托组 6 7 0
舒适度 改良组 19 3 0 0.04
基托组 4 8 1
清洁度 改良组 6 13 3 0.02
基托组 3 9 1
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